BRIAN SHAWN MARTINEZDELACOTERA

MEQUON, WI
NPI1730726753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YP2500X Counselor Professional
(Licence: WI  6996-125)
Enumeration Date2019-12-10
Last Update Date2019-12-14
Business Address
MR. BRIAN SHAWN MARTINEZDELACOTERA
11518 N PORT WASHINGTON RD STE 202
MEQUON, WI 53092-3443
Phone number: 262-244-6177
Mailing Address
MR. BRIAN SHAWN MARTINEZDELACOTERA
1035 W GLEN OAKS LN STE 110
MEQUON, WI 53092-3392
Phone number: 262-244-6177
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